<div id="add_uniform" class="reveal-modal">
	<h3 class="panel">Payment Modes</h3>
	<?if(!empty($add_uniform)):?>
	<form method="POST" action="<?=site_url('fees/add_uniform_fee/'.$enrollment_id);?>" class="custom" style="margin-top:20px;">
		<div class="alert-box">
			<i class="icon-info-sign"></i>Form will not submit until all fields have input.
		</div>
		<div class="row">
			<div class="small-3 large-6 columns">
			<?=form_dropdown('uniform_fee_id',$add_uniform,set_value('uniform_fee_id'),'required');?>
			</div>
			<div class="small-3 large-6 columns">
				<div class="row collapse">
					<div class="small-3 large-2 columns">
						<span class="prefix">QTY</span>
					</div>
					<div class="small-9 large-10 columns">
						<input type="text" name="uniform_quantity" value="<?=set_value('uniform_quantity');?>" placeholder="Enter Quantity" required>
					</div>
				</div>
			</div>
		</div>
		<input type="submit" class="btn btn-primary" name="add_uniform" value="Add Uniform Fee">
	</form>
	<?else:?>
		<div class="alert alert-info">Please contact your School Administrator. Payment Mode were not set.</div>
	<?endif;?>
  <a class="close-reveal-modal btn btn-danger btn-mini"><i class="icon-remove"></i></a>
</div>